It is, however, possible for a trans person to die or become seriously ill because they have had their medical records changed to the wrong sex.
There are several different lower limits for an eGFR, depending on things like a person’s weight, age, gender and race, which are intended to reflect the natural variation in the human body. Based on the female cut-off, [this transman] would have been allowed a transplant immediately. But he’s registered as a man on his medical records, and this meant his doctors used the male eGFR level. He wasn’t put on the list until he reached it – a decision that ultimately delayed the surgery by over a year, and very nearly cost him his life.